NCLEX - Archer
Levothyroxine (Synthroid) - Take it first thing in the morning, no food or meds. Do lab work, report
hyperthyroidism (tachycardia, weight loss, fever, high motor activity)
IV Initiation - Smallest and shortest catheter and apply warm compresses for 10 min. Don't try insertion
for more than 2 times. Review contraindications and use the most distal vein of the arm, avoid hand
veins to prevent nerve damage
Lyme disease - Bull's eye rash, enlarged lymph nodes, fatigue, arthralgia, malaise, encephalopathy. The
mainstay treatment is antibiotics such as doxycycline.
Chest tube - Suction: no tidaling, gentle bubbling. Water seal: tidaling, intermittent bubbling. Drainage:
pink (serosanguineous), no tidaling, no bubbling.
GCS - 4 eyes, Jackson 5 (verbal response), Motor response (1-6)
Hirschsprung's disease - failure to pass meconium, constipation, abdominal distention, and poor
feeding. Ineffective peristalsis, complications, enterocolitis, and toxic megacolon.
Clozapine - atypical antipsychotic, regular blood work due to neutropenia (agrunolocytosis). It causes
weight gain, hypersalivation and myocarditis
Typical vs Atypical antipsychotics - Typical: more side effects, TD, restlessness, sexual problems,
sedation, weight gain, dry mouth, constipation.
Atypical: more withdrawal symptoms, headache, anxiety, muscle aches, agitation, skin abnormalities,
might cause metabolic syndrome
Both can cause neuroleptic malignant syndrome
fluphenazine if dystonia give benadryl
,ACE inhibitors - "PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful
vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension, nephrotoxic
Clonidine - alpha 2 receptor agonist for ADHD and hypertension
Nephrotoxic - Metformin
Aminoglycosides
IV Contrast
Sulfonamides
NSAIDs
Heavy metals
NSAID, vancomycin, ACE inhibitors, sulfa
Potassium - Do not chew, take with food and a glass of water, if it is encapsulated then break it and mix
it with apple sauce.
Do not give K IV push do it always with a line 10mEq/hr if peripheral 20mEq/hr if central line.
If elixir dilute with water
Breast cancer - Most commonly found in upper outer quadrant
,Cast dryness - Fiberglass takes 30 minutes to dry, plaster 2-3 days
Yellow fever vaccine - Contraindicated if severe egg allergy
Reye's syndrome - Caused by aspirin. Fever, profoundly impaired consciousness, and disordered hepatic
function. A liver biopsy is used to confirm the diagnosis of RS and the client may experience dangerously
high ammonia levels.
Theophylline - Causes fast heart rate, check the pulse. Give it with a full glass of water on an empty
stomach
Doxorubicin - Antineoplastic it causes neutropenia if fever then report HCP
Hypernatremia - Hypernatremia
Signs & Symptoms
"FRIED & SALTED"
Fever (low grade)
Restlessness & agitation
Increased fluid retention
Edema: peripheral & pitting
Dry mouth
Skin flushed
Altered LOC & confusion
Low urinary output
Thirst
Elevated blood pressure
, Decreased energy
Etarnecept - Etanercept is a biologic intended to treat specific autoimmune conditions such as plaque
psoriasis, psoriatic arthritis, and rheumatoid arthritis (RA). This medication decreases the inflammatory
process by blocking tumor necrosis factor. This medication is administered subcutaneously on a
specified dosing schedule depending on the condition it is intended to treat. It's given through injection.
Acute Pericarditis treatment - NSAIDs, colchicine, or glucocorticoids.
Oxytocin - Oxytocin is also used to prevent or control uterine bleeding after delivery, to induce
completion of an incomplete abortion (including miscarriages), and to promote milk ejection during
lactation.
Moderate sedation meds - fentanyl, midazolam, or propofol.
Spina Immobilization - NSAIDS
NEUROLOGICAL EXAMINATION: Numbness/Decreased strength
SIGNIFICANT traumatic mechanism of injury
ALERTNESS: Disoriented, altered LOC
INTOXICATION: Impaired decision=making ability or lack awareness of pain
DISTRACTING INJURY: Another significant injury distract from spinal pain
SPINAL EXAMINATION: Point tenderness over the spine or neck pain
post partum hemorrhage medications/interventions - Methylergonovine
This medication is used after childbirth to help stop bleeding from the uterus.
It is contraindicated for clients with high blood pressure (preeclampsia, preexisting hypertension)
Oxytocin bolus, misoprostol rectally, firm fundal massage, carboprost
Levothyroxine (Synthroid) - Take it first thing in the morning, no food or meds. Do lab work, report
hyperthyroidism (tachycardia, weight loss, fever, high motor activity)
IV Initiation - Smallest and shortest catheter and apply warm compresses for 10 min. Don't try insertion
for more than 2 times. Review contraindications and use the most distal vein of the arm, avoid hand
veins to prevent nerve damage
Lyme disease - Bull's eye rash, enlarged lymph nodes, fatigue, arthralgia, malaise, encephalopathy. The
mainstay treatment is antibiotics such as doxycycline.
Chest tube - Suction: no tidaling, gentle bubbling. Water seal: tidaling, intermittent bubbling. Drainage:
pink (serosanguineous), no tidaling, no bubbling.
GCS - 4 eyes, Jackson 5 (verbal response), Motor response (1-6)
Hirschsprung's disease - failure to pass meconium, constipation, abdominal distention, and poor
feeding. Ineffective peristalsis, complications, enterocolitis, and toxic megacolon.
Clozapine - atypical antipsychotic, regular blood work due to neutropenia (agrunolocytosis). It causes
weight gain, hypersalivation and myocarditis
Typical vs Atypical antipsychotics - Typical: more side effects, TD, restlessness, sexual problems,
sedation, weight gain, dry mouth, constipation.
Atypical: more withdrawal symptoms, headache, anxiety, muscle aches, agitation, skin abnormalities,
might cause metabolic syndrome
Both can cause neuroleptic malignant syndrome
fluphenazine if dystonia give benadryl
,ACE inhibitors - "PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful
vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension, nephrotoxic
Clonidine - alpha 2 receptor agonist for ADHD and hypertension
Nephrotoxic - Metformin
Aminoglycosides
IV Contrast
Sulfonamides
NSAIDs
Heavy metals
NSAID, vancomycin, ACE inhibitors, sulfa
Potassium - Do not chew, take with food and a glass of water, if it is encapsulated then break it and mix
it with apple sauce.
Do not give K IV push do it always with a line 10mEq/hr if peripheral 20mEq/hr if central line.
If elixir dilute with water
Breast cancer - Most commonly found in upper outer quadrant
,Cast dryness - Fiberglass takes 30 minutes to dry, plaster 2-3 days
Yellow fever vaccine - Contraindicated if severe egg allergy
Reye's syndrome - Caused by aspirin. Fever, profoundly impaired consciousness, and disordered hepatic
function. A liver biopsy is used to confirm the diagnosis of RS and the client may experience dangerously
high ammonia levels.
Theophylline - Causes fast heart rate, check the pulse. Give it with a full glass of water on an empty
stomach
Doxorubicin - Antineoplastic it causes neutropenia if fever then report HCP
Hypernatremia - Hypernatremia
Signs & Symptoms
"FRIED & SALTED"
Fever (low grade)
Restlessness & agitation
Increased fluid retention
Edema: peripheral & pitting
Dry mouth
Skin flushed
Altered LOC & confusion
Low urinary output
Thirst
Elevated blood pressure
, Decreased energy
Etarnecept - Etanercept is a biologic intended to treat specific autoimmune conditions such as plaque
psoriasis, psoriatic arthritis, and rheumatoid arthritis (RA). This medication decreases the inflammatory
process by blocking tumor necrosis factor. This medication is administered subcutaneously on a
specified dosing schedule depending on the condition it is intended to treat. It's given through injection.
Acute Pericarditis treatment - NSAIDs, colchicine, or glucocorticoids.
Oxytocin - Oxytocin is also used to prevent or control uterine bleeding after delivery, to induce
completion of an incomplete abortion (including miscarriages), and to promote milk ejection during
lactation.
Moderate sedation meds - fentanyl, midazolam, or propofol.
Spina Immobilization - NSAIDS
NEUROLOGICAL EXAMINATION: Numbness/Decreased strength
SIGNIFICANT traumatic mechanism of injury
ALERTNESS: Disoriented, altered LOC
INTOXICATION: Impaired decision=making ability or lack awareness of pain
DISTRACTING INJURY: Another significant injury distract from spinal pain
SPINAL EXAMINATION: Point tenderness over the spine or neck pain
post partum hemorrhage medications/interventions - Methylergonovine
This medication is used after childbirth to help stop bleeding from the uterus.
It is contraindicated for clients with high blood pressure (preeclampsia, preexisting hypertension)
Oxytocin bolus, misoprostol rectally, firm fundal massage, carboprost
